﻿<%@ Page Title="" Language="C#" MasterPageFile="~/common/AfterLogin.master" AutoEventWireup="true" CodeFile="insurance_privateHospitalClaim.aspx.cs" Inherits="product_insurance_user_insurance_privateHospitalClaim" %>


<asp:Content ID="Content3" ContentPlaceHolderID="leftMenu" Runat="Server">
  <ul>
        
                     <li>
                   <a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_statement.aspx")%>">Plan Statement</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_certificate.aspx")%>">Plan Certificate</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_terminate.aspx")%>">Terminate A Plan</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_claim.aspx")%>">Claim Instructions</a></li>
                    <li><a href="<%= Page.ResolveUrl("~/product/insurance/insurance_home.aspx")%>">Plan Details</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_apply_hospital.aspx")%>">Apply For Hospitalisation Plan</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_apply_accident.aspx")%>">Apply For Personal Accident Plan</a></li>
    </ul>

</asp:Content>
<asp:Content ID="Content4" ContentPlaceHolderID="content" Runat="Server">
    <p>
        <br />
    </p>
    <h1>
        For admission to a Private Hospital
    </h1>
    <br />
    (EastShore - now known as Parkway East, Gleneagles, Mount Alvernia, Mount 
    Elizabeth, Raffles, Thomson Medical Centre and Day Surgery Centres/Clinic), this 
    includes:<br />
    <br />
    1. Duly Completed Reinbursement Claim Form.<br />
    <br />
    <asp:FileUpload ID="fu_p1" runat="server" />
    <br />
    <br />
    2. Medical Certification of Treatment to be completed by the attending 
    physician/surgeon.<br />
    <br />
    <asp:FileUpload ID="fu_p2" runat="server" />
    <br />
    <br />
    3. Referral Letter from a General Practitioner, if any.<br />
    <br />
    <asp:FileUpload ID="fu_p3" runat="server" />
    <br />
    <br />
    4. Final Summary Bill and detailed final Hospital bill.
    <br />
    <br />
    <asp:FileUpload ID="fu_p4" runat="server" />
    <br />
    <br />
    <br />
    <asp:Button ID="btn_claim_privateHospital" runat="server" 
        onclick="btn_claim_privateHospital_Click" Text="Submit" />
    &nbsp;&nbsp;
    <asp:CustomValidator ID="vd_File" runat="server" 
        ErrorMessage="Please upload required documents." 
        onservervalidate="vd_File_ServerValidate"></asp:CustomValidator>
    <br />
    <br />
    <p>
    </p>
    <p>
    </p>
</asp:Content>

